Article

A strangulated internal hernia behind the external iliac artery after a laparoscopic pelvic lymphadenectomy.

Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea.
Surgical laparoscopy, endoscopy & percutaneous techniques (impact factor: 1.23). 09/2008; 18(4):417-9. DOI:10.1097/SLE.0b013e318172fca2 pp.417-9
Source: PubMed

ABSTRACT An internal hernia associated with intra-abdominal blood vessels after a pelvic lymphadenectomy is very rare; to our knowledge, only 1 case has been reported to date. We report a case of a strangulated internal hernia of the small bowel behind the external iliac artery that occurred 3 months after a laparoscopic pelvic lymphadenectomy in a patient with cervical cancer. Retroperitonealization after the pelvic lymphadenectomy should be considered in patients with tortuous, elongated external iliac arteries that could be causal lesions of an internal hernia.

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Keywords

1 case
 
cervical cancer
 
elongated external iliac arteries
 
external iliac artery
 
intra-abdominal blood vessels
 
laparoscopic pelvic lymphadenectomy
 
patients
 
pelvic lymphadenectomy
 

Ki Min Kim